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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 A18.52

Billable / Specific CC

Tuberculous keratitis

A18
Block
2
Synonyms
188
LCDs
15
Payer Policies
42
Linked CPTs

About ICD-10-CM A18.52

ICD-10-CM code A18.52 represents Tuberculous keratitis. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A18). The 2026 edition of ICD-10-CM A18.52 became effective on October 1, 2025.

Coding Tips for A18.52

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

A18.52 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under A18.52. Per CMS ICD-10-CM Tabular 2026.

  • Tuberculous interstitial keratitis
  • Tuberculous keratoconjunctivitis (interstitial) (phlyctenular)

Inpatient DRG Impact, CC

codes Tuberculous keratitis. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for A18.52

Local Coverage Determinations (LCDs) from CMS MACs that list A18.52 as a covered diagnosis.

188 LCDs

Showing top 10 of 188 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92201 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92250 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92202 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92227 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92228 →
CMS LCD: Billing and Coding: Vitamin D Assay Testing
Article ID: 57736, Effective: 2024-10-01 00:00:00, 553 covered, 0 non-covered
CPT 82652 →
CMS LCD: Billing and Coding: Vitamin D Assay Testing
Article ID: 57736, Effective: 2024-10-01 00:00:00, 553 covered, 0 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Article ID: 56841, Effective: 2023-10-01 00:00:00, 759 covered, 1 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81227 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81328 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A18.52.

15 policies

1 Cigna

Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Policy ID: ART-56729
Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
Policy ID: ART-56841
Billing and Coding: Ocular Photography - External
Policy ID: ART-57068

CPT Codes Commonly Billed with A18.52

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

42 linkages
  • 82306 CMS LCD: Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed CMS LCD
  • 0031U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 0173U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 0423U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 81407 CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 0349U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 81408 CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 0175U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 0032U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 81220 CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD

Convert A18.52 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
A18.52 01730 10000
A18.52 01730 10111
A18.52 01730 10121
A18.52 37031 10122
A18.52 37059 10112

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 A18.52, Billing FAQ

Is ICD-10 code A18.52 billable? +

Yes, A18.52 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to A18.52? +

ICD-10 A18.52 includes: Tuberculous interstitial keratitis; Tuberculous keratoconjunctivitis (interstitial) (phlyctenular).

Is A18.52 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with A18.52? +

Procedures frequently paired with A18.52 include: 82306, 0031U, 0173U, 0423U, 81407.

What ICD-9 codes does A18.52 map to? +

Per CMS GEMs, A18.52 maps to ICD-9 codes: 01730, 01730, 01730, 37031, 37059. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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